Provider Demographics
NPI:1194019752
Name:LLOYD, TIFFANI DEBRA STEVENSON (MS, PHD, LCMFT)
Entity Type:Individual
Prefix:DR
First Name:TIFFANI
Middle Name:DEBRA STEVENSON
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MS, PHD, LCMFT
Other - Prefix:
Other - First Name:TIFFANI
Other - Middle Name:D
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:3717 DECATUR AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2148
Mailing Address - Country:US
Mailing Address - Phone:240-389-0403
Mailing Address - Fax:301-949-4972
Practice Address - Street 1:3717 DECATUR AVE STE 1
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2148
Practice Address - Country:US
Practice Address - Phone:240-389-0403
Practice Address - Fax:301-949-4972
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM556106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist